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SHANE ANTHONY JOHNSON
NPI 1104791656
Day Training/Habilitation Specialist in San Diego, CA

Active since October 06, 2025
3002 ARMSTRONG ST, SAN DIEGO, CA 92111(858) 351-5425(858) 571-4544 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane Anthony Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE ANTHONY JOHNSON (NPI 1104791656) is an individual day training/habilitation specialist in San Diego, California and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1104791656
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameSHANE ANTHONY JOHNSON
Location Address3002 ARMSTRONG STSan Diego, CA 92111-5702
Mailing Address3002 Armstrong StSan Diego, CA 92111-5702 · (858) 351-5425 · Fax (858) 571-4544
Phone(858) 351-5425
Fax(858) 571-4544
Sole ProprietorNo
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1104791656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
3002 ARMSTRONG ST, San Diego, CA 92111
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GUY LYNOTT
Social Worker (Clinical)
3002 ARMSTRONG ST
SAN DIEGO, CA 92111
San Diego County (858) 633-4100
WENDY VANG
Counselor (Mental Health)
3002 ARMSTRONG ST
SAN DIEGO, CA 92111
San Diego County (858) 277-9550
LINDA RAMSEY
Counselor (Mental Health)
3002 ARMSTRONG ST
SAN DIEGO, CA 92111
San Diego County (858) 633-4100
CHRISTINE MARIE ROBERTS LCSW
Social Worker (Clinical)
3002 ARMSTRONG ST
SAN DIEGO, CA 92111
San Diego County (858) 277-9550
LENA ELIZABETH CHARLES
Counselor (Mental Health)
3002 ARMSTRONG ST
SAN DIEGO, CA 92111
San Diego County (858) 277-9550
CESAR RODRIGUEZ CORREA
Counselor (Professional)
3002 ARMSTRONG ST
SAN DIEGO, CA 92111
San Diego County (858) 277-9550
SAN DIEGO CENTER FOR CHILDREN
Community/Behavioral Health
3002 ARMSTRONG ST
SAN DIEGO, CA 92111
San Diego County (858) 277-9550
JAMES TODD HUTCHISON
Counselor (Mental Health)
3002 ARMSTRONG ST
SAN DIEGO, CA 92111
San Diego County (858) 277-9550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Johnson's NPI number?

The NPI number for Shane Johnson is 1104791656. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Shane Johnson located?

Shane Johnson practices at 3002 Armstrong St, San Diego, CA 92111. The listed phone number is (858) 351-5425.

What is Shane Johnson's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Shane Johnson was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.